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Acknowledgement Receipt

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If the Acknowledgement Receipt is to acknowledge the receipt of money, either in the form of cash or checks, please select "Money". If the Acknowledgement Receipt is to acknowledge receipt of goods such as a car, a bed, or supplies, please select "Goods". If the item received is not listed, choose "Other".

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ACKNOWLEDGEMENT RECEIPT


Received from ________ the amount of ________ (P________) in cash representing the full payment for:


________


Dated _________________.




_______________________________________
Signature over Printed Name of Person Receiving Delivery

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ACKNOWLEDGEMENT RECEIPT


Received from ________ the amount of ________ (P________) in cash representing the full payment for:


________


Dated _________________.




_______________________________________
Signature over Printed Name of Person Receiving Delivery